Kelly Ann Weaver, RN, MSN, FNP, ARNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F330977 Issued in NY

Practice address

2151 S Alt A1A Ste 425
Jupiter, FL 33477-4070

Phone

(561) 979-2001

Fax

(561) 462-0852

NPI assigned

Mar 23, 2007

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aleksandra Kraeher MD PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Jupiter, FL
  • NPI 1497876973

  FL

  Medicare reassignment Care Compare group NPD
• Azzi ENT & Facial Reconstructive Surgery PA

  • Otolaryngology/Facial Plastic Surgery Physician
  • Jupiter, FL
  • NPI 1548009988

  FL

  Medicare reassignment NPD
• Endocrinology Wellness Institute

  • Medical Specialty Clinic/Center
  • Delray Beach, FL
  • NPI 1083020895
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jupiter Medical Center, Inc.

  • General Acute Care Hospital
  • Jupiter, FL
  • NPI 1295721090

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aleksandra Kraeher MD PA 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 13, 2024.

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1821115015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 S ALT A1A STE 425",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334774070",
            "telephone_number": "561-979-2001",
            "fax_number": "561-462-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 S ALT A1A STE 425",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334774070",
            "telephone_number": "561-979-2001",
            "fax_number": "561-462-0852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Jupiter Lakes Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334587188",
            "country_code": "US",
            "telephone_number": "561-979-2001",
            "fax_number": "561-462-0852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RN, MSN, FNP, ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "413453",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F330977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03314050",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Jupiter, FL
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.